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Fotona Laser · IntimaLase · RenovaLase · IncontiLase

Intimate concerns
addressed with care.

Changes to intimate tissue after childbirth, hormonal shifts or the natural process of ageing are common, real and treatable. Dr Barker offers three distinct Fotona laser procedures for women, each targeting a specific concern, using non-invasive laser energy to restore tissue tone, comfort and function. These are medical treatments, performed with the same medical precision and discretion as every other procedure at this practice. A consultation is the right place to start.

Per session R2,950 All three procedures priced equally
Sessions required 3 Spaced 4 to 6 weeks apart for optimal result
Full course R7,999 Per procedure · full course of 3
Downtime Minimal Most patients return to normal activity the same day
Three Procedures · One Concern Each

Choose the procedure for your concern

Each procedure addresses a distinct concern. Dr Barker will recommend the most appropriate treatment at consultation based on your specific symptoms and goals. In some cases more than one procedure may be recommended.

Fotona · Er:YAG
IntimaLase
Vaginal laxity and tightening
Non-invasive laser treatment that stimulates collagen in the vaginal wall to restore tone and tightness. Addresses laxity following childbirth or with age, improving sensation and comfort.
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Fotona · Er:YAG
RenovaLase
Vaginal dryness and atrophy
Laser treatment for vaginal atrophy and dryness caused by hormonal changes, menopause or medical treatment. Restores moisture, elasticity and comfort without hormonal therapy.
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Fotona · Er:YAG
IncontiLase
Stress urinary incontinence
Non-surgical laser treatment for stress urinary incontinence, the involuntary leaking that occurs with coughing, sneezing, laughing or exercise. A meaningful improvement without surgery or medication.
View details ↓
About These Treatments

Common concerns. Real solutions.

The physical changes that follow childbirth, hormonal transitions and the natural process of ageing affect intimate tissue in ways that are rarely discussed openly but are experienced by a significant proportion of women. Laxity, dryness, discomfort and stress incontinence are not inevitable or permanent conditions. They are treatable, and the Fotona laser system offers three well-studied, non-invasive solutions that address each concern directly.

All three procedures use the Fotona Er:YAG laser to deliver controlled thermal energy to the vaginal mucosa and surrounding tissue, stimulating collagen production and tissue remodelling. There are no incisions, no general anaesthetic and no significant downtime. Each treatment takes approximately 20 to 30 minutes and is performed in-room. The course of three sessions, spaced 4 to 6 weeks apart, produces a cumulative and progressive improvement that continues to develop over the weeks following the final session.

These are medical treatments, not cosmetic novelties. Dr Barker approaches intimate rejuvenation with the same medical rigour and patient discretion as every other procedure at this practice. A thorough consultation precedes every treatment to confirm the appropriate procedure, assess suitability and set realistic expectations. Patients are encouraged to ask any question they have, however small.

Why Fotona for Intimate Rejuvenation
The most studied laser platform for non-surgical intimate treatments

The Fotona Er:YAG wavelength is uniquely suited to intimate rejuvenation because of its high affinity for water in mucosal tissue. This allows precise, controlled heating of the vaginal wall to the exact depth needed to stimulate collagen remodelling, without damaging the epithelial surface. The IntimaLase, RenovaLase and IncontiLase protocols are Fotona-specific treatment programmes with extensive published evidence behind them. Dr Barker uses the Fotona system exclusively across all laser treatments at this practice.

IntimaLase
Vaginal tightening and laxity
For women experiencing laxity following childbirth or with age

IntimaLase uses the Fotona Er:YAG laser to deliver controlled thermal energy to the vaginal wall, stimulating a collagen remodelling response that progressively restores tone, tightness and structural support to the vaginal canal. The treatment is non-invasive, performed entirely internally using a specialised laser handpiece, and requires no anaesthetic in most cases. Most women describe a warm sensation during treatment with no significant discomfort.

Vaginal laxity is a common consequence of vaginal childbirth and natural ageing and affects both physical sensation and confidence. IntimaLase offers a meaningful, well-evidenced improvement without surgery, anaesthetic or recovery time. Results develop progressively over the weeks following each session, with the full benefit of the three-session course apparent 6 to 8 weeks after the final treatment.

Laxity following vaginal childbirth
Age-related loss of vaginal tone
Reduced sensation
Structural looseness of the vaginal canal
Improved confidence and comfort
Non-surgical alternative to vaginoplasty
RenovaLase
Vaginal dryness and atrophy
For women experiencing dryness, discomfort or atrophy from hormonal changes

RenovaLase addresses vaginal atrophy and dryness caused by the decline in oestrogen that accompanies menopause, perimenopause, hormonal treatments or certain medical conditions. As oestrogen levels fall, the vaginal mucosa thins, loses elasticity and produces less natural lubrication, resulting in dryness, irritation, discomfort during intercourse and a general deterioration in vaginal comfort and health.

The Fotona Er:YAG laser stimulates the production of new collagen and promotes revascularisation in the vaginal mucosa, restoring thickness, elasticity and moisture to the tissue. This is achieved without hormonal therapy, making it a meaningful option for women who cannot or prefer not to use topical or systemic oestrogen. Results typically become apparent after the second session and continue to improve through the course.

Vaginal dryness
Vaginal atrophy (GSM)
Discomfort or pain during intercourse
Menopausal and perimenopausal changes
Post-cancer treatment dryness
Non-hormonal treatment option
IncontiLase
Stress urinary incontinence
For women experiencing leakage with coughing, sneezing, laughing or exercise

Stress urinary incontinence is the involuntary leakage of urine that occurs when physical exertion places sudden pressure on the bladder. Coughing, sneezing, laughing, running or lifting are common triggers. It is caused by weakening of the pelvic floor and urethral support structures, most commonly following childbirth or with age, and affects a far greater number of women than publicly acknowledged.

IncontiLase uses the Fotona Er:YAG laser to stimulate collagen remodelling in the anterior vaginal wall and periurethral tissue, improving the structural support of the urethra and reducing or eliminating the involuntary leakage. Published studies report significant improvement in the majority of patients after a full course of three sessions. For mild to moderate stress incontinence this is a highly effective non-surgical option that avoids the recovery and risks associated with surgical sling procedures.

Leakage with coughing or sneezing
Leakage with laughing
Leakage during exercise or running
Mild to moderate stress incontinence
Post-childbirth urethral weakness
Non-surgical alternative to sling procedure
The Treatment Experience

What to expect

1
Consultation and assessment
Dr Barker discusses the concern in detail, assesses suitability and recommends the appropriate procedure or combination. He will explain what to expect honestly, including the realistic degree of improvement and the number of sessions required. All questions are welcome. The consultation is conducted with complete discretion and professionalism. A Pap smear within the last 6 months with a normal result is required before any of these treatments can proceed, if this has not been done recently, it will need to be arranged with your GP or gynaecologist before booking a treatment session.
2
Preparation
No anaesthetic is required for most patients. A topical gel may be applied for comfort before the procedure begins. The treatment is performed in a private room and takes approximately 20 to 30 minutes from start to finish.
3
Laser treatment
Dr Barker applies the Fotona Er:YAG laser using a specialised intravaginal handpiece, delivering controlled thermal pulses to the vaginal mucosa at the depth required for each procedure. Most patients describe a gentle warmth with no significant discomfort. The procedure is smooth and takes under 30 minutes.
4
Recovery
There is no meaningful downtime. Mild warmth or sensitivity in the treated area for a few hours is normal. Most patients return to normal daily activities immediately. Sexual abstinence for 5 to 7 days following each session is recommended. Three sessions spaced 4 to 6 weeks apart constitute the full course.
5
Results
Results develop progressively over the weeks following each session as collagen remodelling takes place. The full benefit of the course is typically apparent 6 to 8 weeks after the third session. Annual maintenance sessions are recommended to sustain the result long term, particularly for menopausal patients where the underlying hormonal change continues.
Common Questions

Frequently asked questions

Is it painful?
The procedures are very well tolerated. No general or local anaesthetic is required in most cases. Patients typically describe a gentle warmth during treatment rather than pain. The Fotona Er:YAG laser delivers energy in controlled pulses to the vaginal mucosa, which has fewer pain receptors than the external skin. Any mild sensitivity in the treated area after the session resolves within a few hours.
How soon will I notice a difference?
Most patients notice an initial improvement after the first or second session. Results continue to develop progressively as collagen remodelling takes place over the weeks following each treatment. The full benefit of the three-session course is typically apparent 6 to 8 weeks after the final session. For stress incontinence, a meaningful reduction in episodes is usually noticeable from the second session onwards.
Can I have more than one procedure in the same course?
Yes. In some cases Dr Barker may recommend combining two procedures, for example IntimaLase and RenovaLase together, where both laxity and dryness are present. Each additional procedure is priced separately at R2,950 per session. He will discuss this at consultation and only recommend a combination where it genuinely serves the patient's goals.
Is this an alternative to hormone replacement therapy?
RenovaLase is a non-hormonal treatment for vaginal atrophy and dryness, making it a meaningful option for women who cannot use oestrogen therapy due to a history of hormone-sensitive cancer or personal preference. It does not replace systemic HRT for other menopausal symptoms. Dr Barker will discuss the most appropriate approach for each patient's individual medical history and concerns at consultation.
How long do the results last?
Results from a full three-session course typically last 12 to 18 months. For menopausal patients where the underlying hormonal change continues, results may diminish more quickly and annual maintenance sessions are recommended to sustain the improvement. For IncontiLase, the structural improvement to urethral support is generally well maintained and a single maintenance session per year is typically sufficient.
Is the consultation confidential?
Completely. Dr Barker answers his own WhatsApp and phone personally. All consultations and treatments are conducted in a private room. Patients are encouraged to ask any question they have without hesitation, however sensitive the concern may feel.
SB
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Treatments · Pricing · Bookings
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Is the treatment painful?
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Discomfort is minimal. A topical anaesthetic is applied beforehand and the procedure is gentle.
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Some improvement is immediate. Full results develop over 6 to 8 weeks as collagen remodelling takes place.
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